Concentration in Health Insurance Markets

This interactive chart provides details on 1) enrollment in the overall individual market and the individual exchanges as measured by covered life-years, and 2) covered life-years in each state's individual exchange as a proportion of covered life-years in the overall individual market from 2015 through 2022.



Louisiana

Source: GAO analysis of data from the Centers for Medicare & Medicaid Services (CMS). | GAO-25-107194


The table below displays data for the selected state. Click here to download the data used in this graphic.



State Year Covered life-years, individual exchange Covered life-years, individual market Individual exchange covered life-years as a proportion of overall individual market (%)
Louisiana 2015 128,197 267,291 48
Louisiana 2016 152,791 255,920 60
Louisiana 2017 100,247 172,413 58
Louisiana 2018 83,022 135,771 61
Louisiana 2019 76,933 123,799 62
Louisiana 2020 74,801 116,557 64
Louisiana 2021 78,323 114,956 68
Louisiana 2022 93,715 125,081 75

  • We calculated the size of each market from 2015 through 2022 using covered life-years that issuers reported to Centers for Medicare & Medicaid Services or states. This measure is calculated as the average number of lives insured each month in the reporting year. Rather than a point-in-time measurement, this measure accounts for changes in enrollment that occur throughout the year.
  • Covered life-years is one of several ways to measure health insurance enrollment, so it may differ from other measures of market size.
  • We rounded market share values of less than 0.5 percent to zero.